Application of cerebral oximetry in perioperative management for neck regional main artery surgery

    LI Baoª²Wei, MI Weiª²Dong, CHEN Zhiª²Jin

    Department of Anesthesiology, PLA General Hospital, Beijing 100853, China

    ¡¾Abstract¡¿ AIM: To investigate the management of perioperative cerebral oxygen balance for neck regional main artery surgery. METHODS: Fifteen patients (eight with carotid artery stenosis, seven with carotid body tumor) were enrolled in the study, whose cerebral oximetry (rSO2), artery blood pressure(ABP) and carotid reverse blood pressure were continuously monitored and recorded during perioperative period. RESULTS: The rSO2 monitored from the two sides of the carotid was significantly different (P<0.05) and the rSO2 of the patients with carotid body tumor was significantly different before and after carotid clamping (P<0.05). The transient change of rSO2 of patients with carotid artery stenosis was different before and after clamping the carotid. Two patients underwent artery bypass operation due to the low reflux pressure of internal carotid artery. CONCLUSION: The monitor of rSO2 during neck regional main artery surgery helps the management of perioperative cerebral oxygen balance for neck regional main artery surgery. ......